Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol

Deise Kamanski; Julieta G Tavares; Joao Bb Weber; Carlos A Feldens; Eduardo G Reston; Patrícia Fjs da Cunha; Paulo F Kramer

doi:10.5005/jp-journals-10005-2437

Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol

Int J Clin Pediatr Dent. 2022 Sep-Oct;15(5):636-641. doi: 10.5005/jp-journals-10005-2437.

Authors

Deise Kamanski¹, Julieta G Tavares¹, Joao Bb Weber¹, Carlos A Feldens², Eduardo G Reston², Patrícia Fjs da Cunha¹, Paulo F Kramer³

Affiliations

¹ Department of Pediatric Dentistry, School of Health and Life Science, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
² Department of Pediatric Dentistry, School of Dentistry, Universidade Luterana do Brasil (ULBRA), Canoas, Rio Grande do Sul, Brazil.
³ Department of Pediatric Dentistry, School of Health and Life Science, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil; Department of Pediatric Dentistry, School of Dentistry, Universidade Luterana do Brasil (ULBRA), Canoas, Rio Grande do Sul, Brazil.

Abstract

Aim: This case report describes a protocol for restoring a crown fracture of an unerupted permanent incisor in a child.

Background: Crown fractures are an important concern in pediatric dentistry due to the negative impact on oral health-related quality of life (OHRQoL) in children and adolescents resulting from functional limitations as well as consequences related to social and emotional well-being.

Case description: An enamel and dentin fracture of the crown of unerupted tooth 11 due to direct trauma is being presented in a 7-year-old girl. The restorative treatment involved minimally invasive dentistry, including computer-aided design (CAD)/computer-aided manufacturing (CAM) technology and direct resin restoration.

Conclusion: The treatment decision was essential for maintaining pulp vitality and continued root development, as well as ensuring esthetic and functional results.

Clinical significance: Crown fracture of an unerupted incisor may occur in childhood, requiring a long-term clinical and radiographic follow-up. Predictable, positive, and reliable esthetic outcomes can be achieved using CAD/CAM technology combined with adhesive protocols.

How to cite this article: Kamanski D, Tavares JG, Weber JBB, et al. Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol. Int J Clin Pediatr Dent 2022;15(5):636-641.

Keywords: Case report; Composite resins; Computer-aided design; Tooth; Tooth injuries; Unerupted.

Publication types

Case Reports